Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

James Archibald Lake death at Halifax, Halifax County on September 2, 1970

Male Death Registration: Year: 1970 number: 5328

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 005328

1. PLACE OF DEATH   County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital

3. PRINT NAME OF DECEASED Lake, James Archibald

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

English

7. Single, Married

married

8. BIRTHPLACE England

9. DATE OF BIRTH 4  5, 1904

10. AGE in  Years66  Months4  Days28 | hrs or mins

11. Trade or profession Electrician, retired

12. Kind of industry Self employed

13. Date last worked 1948       14. Total years 20

15. If married name of spouse Margaret M. Smith

16. NAME of Father John Lake

17. BIRTHPLACE England

18. NAME of Mother Flora  MacKinnon

19. BIRTHPLACE Scotland

20. Signature of Informant Mrs. James A. Lake, FME

      address 5547 Atlantic Street, Halifax

      Relationship to deceased wife

21. Place of burial Gate of Heaven Cemetery

      Date of burial September 5, 1970

22. Undertaker Halifax Funeral Home, LTD

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH September 2, 1970

CAUSE OF DEATH

(a) Liver Failure

(b) Portal cirrhosis

(c) Cancer of liver

other Portal vein obstruction

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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=490636

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